None listed
Conditions
Brief summary
To evaluate the impact of surgical rib fixation (SRF) on survival in patients with flail chest. Our hypothesis is that the patients with flail chest who undergo surgical rib fixation will have improved outcomes, including reduced mortality rates, shorter duration of mechanical ventilation, and shorter intensive care unit (ICU) length of stay, compared to those who receive traditional management.
Interventions
Plates will be used for Surgical rib fixation
It will be a surgical procedure done under general anaesthesia.
Intervention will be done by operating surgeon
Intervention will be done one time to fix the ribs in the operation theatre. The procedure will take between 2 to 3 hours depending on the number of ribs fixed.
Intervention outcomes will be assessed by collecting data showing the number of days patients need ventilator support, the number of days admitted in the ICU and the length of hospi
Plates will be used for Surgical rib fixation It will be a surgical procedure done under general anaesthesia. Intervention will be done by operating surgeon Intervention will be done one time to fix the ribs in the operation theatre. The procedure will take between 2 to 3 hours depending on the number of ribs fixed. Intervention outcomes will be assessed by collecting data showing the number of days patients need ventilator support, the number of days admitted in the ICU and the length of hospital stay.
Sponsors
Sadaf Zafarullah- Mayo Hospital
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
All patients of either gender, aged between 18-70 years of age Patients who met the diagnostic criteria by imaging examination (CT three-dimensional reconstruction) had flail chest (three or more consecutive ribs fractured in two places) Patients with complete data Patients who could be randomly assigned to receive either early rib fracture fixation or delayed rib fracture fixation
Exclusion criteria
patients who were unlikely to be salvaged upon admission, such as patients who were near death or unable to be resuscitated. patients with other severe traumas, such as severe traumatic brain injury, severe spinal cord injury, or cardiac injury immune and inflammatory diseases before multiple rib fractures other organ failures, such as heart failure, hepatic failure, and kidney failure pregnant women and patients with malignant tumours
Outcome results
None listed